Physiotherapist, Chennai

Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.

More about Dr. Preetha

Dr. Preetha is one of the best Physiotherapists in Mahalingapuram, Chennai. Doctor is currently associated with Sri Sugam Physiotherapy Institute Private Limited in Mahalingapuram, Chennai. Book an appointment online with Dr. Preetha on Lybrate.com.

Lybrate.com has an excellent community of Physiotherapists in India. You will find Physiotherapists with more than 42 years of experience on Lybrate.com. You can find Physiotherapists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Ankylosing spondylitis (AS) is an auto immune disease where in the immune system is hyper active. The treatment is via Immunosuppressive medicines. May also require steroid therapy if clinical symptoms are severe.
AS has tendency to cause severe hip and knee arthritis in addition to spine deformities. Hence early treatment is necessary to avoid deformities.

Investigations advised -
hb, tlc, dlc, esr, sugar f & pp, uric acid, vit d3
urine r/e
x ray of the affected part. Anyway you may try-
sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful
use no pillow under the head.
Do hot fomentation.
Paracetamol 250mg od & sos x 5days.
Caldikind plus 1tab od x10. Do neck back knee & general exercises. It may have to be further investigated.
Make sure you are not allergic to any of the medicines you are going to take.
For emergency treatment see your nearest hospital or family doctor.
If it does not give relief in 4-5days, inform me.

Hi
Thanks for your query and Welcome to Lybrate. I am Dr Akshay from Fortis Hospital, New Delhi.
Exercise can be best guided to you by a physical therapist but there are mainly flexion and extension exercises depending upon the spinal pathology, general conditioning exercises and abdominal strengthening exercises, posture counseling etc but consult a good physical therapist for this .
Do not hesitate to contact me if you need any further assistance.
You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
Thanks & Regards
Dr Akshay Kumar Saxena
Consultant Orthopaedics
Fortis Hospital, New Delhi

For gout please do s. Uric acid s. Urea s. Creatinine and confirm it and is it swelling in the pain area
For pain take ust physiotherapy for 12 days with hot lukewarm fomentation thrice a day for 5 days best wishes

Kindly show me a photograph of the affected part.
Rule out diabetes & vit. D deficiency or any other metabolic disorder.
Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful
Do hot fomantation.
Paracetamol 250mg od & sos x 5days.
Caldikind plus 1tab od x10.
Do neck, back & general exercises.
It may have to be further investigated.
You will need other supportive medicines also.
Make sure you are not allergic to any of the medicines you are going to take.
If it does not give relief in 1 wk, contact me again. Do not ignore. It could be beginning of a serious problem.

Hello
according to your condition you have to take hot water fermentation through towel and do it 3 times in a day duration-15 min
along with stretching and back exercises like straingh leg raising, bridging with -20 min repetition -5 sec hold do it for 3 days sure you will get well soon take care.

Is she diabetic and is she taking antihypertensive drugs these two vital informations are not shared.
If not then following medicines can be given
1 .Swaskuthar rasa 2 tab + tankan bhasma250 mg+ Sitopaladi churna 3 gm + Brochorid 3tsf twice daily after food.

Go for fasting once a week. You can go for absolute fasting or rely on a liquid diet to digest ama (toxin). Fasting should be followed by hot fomentation or by taking a bath with lukewarm water or steam bath.
After fasting and fomentation, mix powdered long pepper, black pepper and dried ginger in equal quantities and take 1 teaspoon of this powdered mix with lukewarm water twice a day. This will help you restore your digestive fire.
Take one tablespoon of castor oil before going to bed, once or twice a week. It helps in cleansing ama (toxin) build up and balancing vata.
Mix equal quantities of powdered fenugreek seeds, turmeric and ginger powder. Take one teaspoon daily in the morning and evening.
For dry fomentation of the affected joints, take a cloth and fold it into four, fill it with hot and sand make a potli (bag) out of it. Use this bundle for the fomentation of different joints. This is very helpful in reducing pain and swelling.

Hi lybrate-user Eat with your eyes and your mind
Make sure your dinner table has a spread of colours like yellow, green, red, orange, white. Add a lot of different fresh seasonal vegetables, raw salads and herbs. This will not only be pleasing to your palate by providing a burst of flavour but will also give it an aesthetic appeal, so the meal doesnât look boring and monotonous.
While you sit to eat, do not just shove the food in your mouth and gulp it down. The idea is to go slow, and enjoy the entire experience, relish your food as you chew it properly to enjoy every flavour in every bite. Focus on what you are eating the texture, the visual appeal, the aroma of the dish. Eating mindfully will make it an enjoyable experience while assisting in better digestion, make you feel more fuller by avoiding overeating and prevent a lot of stomach distress like gas, bloating or acidity
Take small portion
Eating a smaller portion of food at a time helps in the breakdown of the food in an effective way so that the entire calories obtained from the food are used up by the body for all the bodily functions. When you eat a large meal, the excess energy which goes unused by the system gets stored as fat and causes weight gain. A good idea would be to use smaller plates so the plate looks fuller and psychologically makes you feel that you have eaten enough while eating from a larger plate makes you pile up your plate with more food which in turn makes you eat more calories.
Fill up your stomach only up to 80%
We have been raised to eat until we are absolutely full so we donât feel hungry later. Either that or because traditionally Indian consider it a taboo to leave any food on the plates so we eat off the kids plates because he/she wonât eat anymore, also we have seen our moms finish the leftover paratha or grab an extra spoon rice even if they are not too hungry, just so that they donât have to throw it away as they are usually the last ones to eat. Not realising how much damage we are doing to our bodies by eating more than what our body needs. However, it is better to stuff ourselves and only eat until we feel adequately full. Yes, you will feel hungry after few hours and that ok. It only means less pressure on your intestines and delaying the ageing process of the cells which can prevent heart attacks, diabetes and cancer.
Eat small snacks every few hours.
Having said that eating till you are 80% full will make you hungry for more, it is a good practice to eat 5-6 meals a day instead of the traditional 3 meal pattern of breakfast, lunch and dinner. Eat a healthy snack like a fresh whole fruit or nuts like almonds, walnuts, unsalted peanuts, pumpkin seeds, low fat curd or unsalted chaas, hard boiled eggs between main meals every 2-3 hours. This will help to keep you burning more calories throughout the day as the digestion process continuous to keep your metabolism up and running. Also, your body will thank you for feeling light and energetic throughout the day because of the regular supply of an array of nutrients and maintaining your blood sugar levels
Have a light supper or dinner
As they say, Eat breakfast like a King, Lunch like a commoner and dinner like a popper it is important to start the day with a filling wholesome breakfast to kick start your metabolism and taper down your meals as the sun goes down. Your last meal should happen atleast 3 hours before your bedtime so the body has enough time to digest the meal properly before you go to bed. If you eat a heavy meal too close to bedtime, the body cannot digest it properly leading to indigestion, acid reflux, disturbed sleep making you wake up next morning feeling sluggish and tired. As the day goes the body tends to slow down and to go into a repair and recovery mode to heal the body from the days stress and wear and tear. Also, since we are not physically active in the night time all the excess calories get stored as fat in the body
Eat vegetables first
Vegetables are full of fibre and when you consume them first, this fibre helps to cover whatever is eaten after and inhibits insulin spikes and the speed at which sugar is transported into the blood.
Proteins such as fish, chicken, paneer or sprouts are harder to digest when they are eaten first and everything else eaten after would take time making you feel bloated. Raw vegetables contain a digestive enzyme that helps break down proteins.
Eat more fiber
Eating more fiber, makes feel fuller, can increase satiety and makes you lose weight. Make sure you eat about 3-4 servings of fruits and vegetables, raw or cooked throughout the day
Reduce sugar as much as possible Tips for quick weight loss \ blogs \ Just for Hearts
Tips for quick weight loss \ blogs \ Just for Hearts
To achieve a flatter belly, make sure you have as low as zero grams of sugar. Opt for healthier natural sweetener such as honey, dates, dates syrup, figs but donât overdo it. Add chopped strawberries or other fruits like apples, pear to your morning oatmeal to satisfy the sweet tooth. Adding a little cinnamon or ilaichi to your food and coffee or tea also add some flavour and helps to maintain your blood sugar levels
Tea is key
Green tea has zero calories and is loaded with antioxidants that helps to clear the system of any toxins and help in digestion of the food consumed. The catechin found in green tea have been proven to increase your metabolism even when you are not physically active which makes it an excellent alternative to your regular chai or other creamy beverages.
Drink up
Gustling down water is indeed the easiest thing you can do for your body to lose the love handles. Your body needs water in order to efficiently metabolize stored fat. When you shortchange your supply, youâre likely to slow down that process, meaning itâs more difficult for you to burn calories. An easy breezy eight glasses a day (at least!) will keep your system running smoothly.
One study showed that drinking a half liter (17 oz) of water about a half an hour before meals helped dieters eat fewer calories and lose 44% more weight.
Indulge in moderation
Once in a while it is fine to go easy and treat yourself to a favourite food like a cheesy pasta or a sinful dessert provided you have been good with your diet all week
Count your calories
There are studies showing that keeping a food diary and writing down what you eat, or taking pictures of all your meals, can help you lose weight.
Anything that increases your awareness of what you are eating is likely to be useful.

Keep your leg raised while sitting or lying
quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day.
Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day.
Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.

Hello lybrate user,
back pain that is associated with day time sedentary jobs like computer professional s are associated with paraspinal muscle spasms. The best way to tackle this sort of pain is to do well spaced stretching exercises of the back, back extension exercises, using hot water bags to provide relief and avoiding stooping posture while sitting.
Posture also plays a very important part in back pain, always maintain a straight posture while sitting.
While getting up from the bed try to first go on your left or right side of the body and get up side ways.
Avoid cruntches or sit-ups: they may increase the pressure on your back and may predispose to slip disc.
Always maintain a healthy lifestyle in terms of regular brisk walking, meditation, eating healthy. P. S: try to avoid pain killers (analgesics) as much as possible as many are associated with side effects that you may not be aware of. Stay healthy. Stay happy god bless you.